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https://repository.monashhealth.org/monashhealthjspui/handle/1/39998| Title: | Posterior rever sible encephalopathy syndrome and subarachnoid hemor rhage after lumboperitoneal shunt for fulminant idiopathic intracranial hyper tension. | Authors: | Seneviratne U.;Kempster P. ;Fok A.;Chandra R.V.;Gutman M.;Ligtermoet M. | Institution: | (Fok, Ligtermoet, Seneviratne, Kempster) Departments of Neuroscience, Monash Health, Melbourne, Australia (Chandra) Diagnostic Imaging, Monash Health, Melbourne, Australia (Chandra, Seneviratne) Department of Medicine, Monash University, Melbourne, Australia (Gutman) Department of Neurosurgery, Monash Health, Melbourne, Australia | Issue Date: | 4-Mar-2016 | Copyright year: | 2016 | Publisher: | Lippincott Williams and Wilkins (E-mail: kathiest.clai@apta.org) | Place of publication: | United States | Publication information: | Journal of Neuro-Ophthalmology. 36 (2) (pp 164-166), 2016. Date of Publication: 2016. | Journal: | Journal of Neuro-Ophthalmology | Abstract: | A 33-year-old woman presented with severe visual loss from fulminant idiopathic intracranial hypertension. Her lumbar puncture opening pressure was 97 cm H2O. Soon after lumboperitoneal shunt surgery, she had a generalized tonic-clonic seizure. Magnetic resonance imaging demonstrated frontal subarachnoid hemorrhage (SAH) and neuroimaging findings consistent with posterior reversible encephalopathy syndrome (PRES). We hypothesize that an abrupt drop in intracranial pressure after lumboperitoneal shunting led to maladjustment of cerebral vascular autoregulation, which caused SAH and PRES.Copyright © 2016 by North American Neuro-Ophthalmology Society. | DOI: | http://monash.idm.oclc.org/login?url=http://dx.doi.org/10.1097/WNO.0000000000000355 | ISSN: | 1070-8022 | URI: | https://repository.monashhealth.org/monashhealthjspui/handle/1/39998 | Type: | Article | Subjects: | autoregulation blood pressure blurred vision body mass brain ventricle peritoneum shunt case report cerebrospinal fluid pressure computer assisted tomography diplopia female fenestration follow up hallucination headache hospitalization human *idiopathic intracranial hypertension/su [Surgery] intracranial pressure lumbar puncture nerve paralysis neuroimaging nuclear magnetic resonance imaging optic disk optic nerve papilledema perception *posterior reversible encephalopathy syndrome postural headache priority journal right hemisphere seizure *shunting *subarachnoid hemorrhage tonic clonic seizure visual acuity visual impairment *lumboperitoneal shunting adult article hemosiderin *fulminant idiopathic intracranial hypertension/su [Surgery] vitreous body vomiting white matter female fenestration follow up hallucination headache hospitalization human *idiopathic intracranial hypertension / *surgery intracranial pressure lumbar puncture nerve paralysis neuroimaging nuclear magnetic resonance imaging optic disk optic nerve papilledema perception *posterior reversible encephalopathy syndrome postural headache priority journal right hemisphere seizure *shunting *subarachnoid hemorrhage tonic clonic seizure visual acuity visual impairment vitreous body vomiting white matter brain ventricle peritoneum shunt blurred vision blood pressure autoregulation body mass case report cerebrospinal fluid pressure computer assisted tomography diplopia Article adult |
Type of Clinical Study or Trial: | Case series or case report |
| Appears in Collections: | Articles |
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